How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $57.54 | Facility | None | $54.95 | $54.95 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $58.88 | Professional | None (both parts) | $45.71 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $12.59 | Professional | 26 · Professional part | $10.96 | $10.96 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $45.71 | Professional | TC · Technical part | $43.65 | $43.65 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $77.62 | Professional | None (both parts) | $35.48 | $41.69 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.49 Typical High $15.85 | Professional | 26 · Professional part | $13.49 | $15.49 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.39 Typical High $61.66 | Professional | TC · Technical part | $19.95 | $22.39 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $64.57 Typical High $79.43 | Professional | None (both parts) | $53.70 | $64.57 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $23.44 | Professional | 26 · Professional part | $11.22 | $12.30 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $38.90 | $52.48 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $138.04 | Professional | None | $39.81 | $39.81 | $138.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.22 Median $25.12 Typical High $64.57 | Professional | None (both parts) | $16.22 | $25.12 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $85.11 | Professional | None (both parts) | $48.98 | $60.26 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $21.88 | Professional | 26 · Professional part | $10.47 | $12.59 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $47.86 Typical High $79.43 | Professional | TC · Technical part | $35.48 | $47.86 | $79.43 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $26.92 Typical High $28.84 | Professional | 52 · Reduced service | $22.91 | $26.92 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.96 Typical High $11.75 | Professional | 53 · Discontinued | $9.12 | $10.96 | $11.75 |
Where Georgia sits
The same service costs 3.3 times more in Alaska than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 20th of 51
$54.95
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.